Application form for Certificate Program in Public Relations Media and Event Management Surname (required) Name (required) Father's Name (required) MarriedUnmarried Date of Birth Age MaleFemale Mobile Number Parish Diocese Your Email (required) Current Address Address Village/Town/City Pincode Permanent Address Address Village/Town/City Pincode In case of emergency( Name, Address and Phone) Languages Known Speak Read Write HIGH SCHOOL Name of the School/Board Year of passing % of marks Class/Division BACHELORS DEGREE Name of the College/University Year of Passing % of marks Class/Division Computer Skills YesNo Specify if Yes Employment YesNo Speciy if Yes 1 2 3 Your reasons for wanting to pursue a career in PUBLIC RELATION MEDIA AND EVENT MANAGEMENT (PRMEM) (100 Words) (150 Words) I need accommodation facility YesNo Attach Photo Photo should between 20 to 500 KB